Organization
DENTAL SPA OF TEXAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL C AZINGE DDS (PRESIDENT)
(972) 377-8177
Entity
Organization
Contact information
Practice address
2995 PRESTON ROAD, # 1500, FRISCO, TX 75034
(972) 377-8177
(972) 377-4377
Mailing address
2995 PRESTON ROAD, SUITE # 1500, FRISCO, TX 75034
(972) 377-8177
(972) 377-4377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20627
TX
Other
Enumeration date
10/08/2009
Last updated
12/19/2016
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